SIGNATURE f in Y. LENDER. The deposit slip or letter must include the bank account registration, account number, account type and bank routing number.Do not staple to the form. I authorize CITY OF FRANKLIN , hereinafter called COMPANY, to initiate debit entries to my (our):. CHECKING. Use this form to authorize telephone purchase or redemption instructions via electronic funds transfer between Putnam and your bank account. Of my pay deposited to the following financial institution. EXISTING. Henry a letter that said Bryan was giving Henry permission to use the card. If you do not have a lawyer and are representing yourself in a case, use these simplified instructions to help you fill out the Military Affidavit form. Write to Us. Eastern Bank Customer Service Center P.O. Box 391.